Ce. Mapp et al., INFLAMMATORY EVENTS IN THE BLOOD AND AIRWAYS OF GUINEA-PIGS IMMUNIZEDTO TOLUENE DIISOCYANATE, American journal of respiratory and critical care medicine, 154(1), 1996, pp. 201-208
Citations number
35
Categorie Soggetti
Emergency Medicine & Critical Care","Respiratory System
Toluene diisocyanate (TDI)-induced asthma is a common cause of occupat
ional lung disease. We used a model to investigate the course of bronc
hopulmonary inflammation following immunization with TDI. Guinea pigs
were immunized by weekly intradermal injections and challenged with TD
I 7 d after the third injection. The animals were killed at different
times after challenge and prepared for histologic examination of centr
al and peripheral airways, for immunohistochemical studies of T lympho
cyte and eosinophil distribution, and for hematologic and serologic in
vestigations. Specific IgG(1) against TDI were present only in immuniz
ed animals. In immunized TDI-challenged animals there was a significan
t increase in the number of metachromatic cells (at 24 h) and a late i
ncrease of eosinophils (at 48 h) in the peripheral blood. Mast cells a
nd eosinophils were also increased in the submucosa of central airways
of immunized TDI-challenged animals. A similar pattern was observed i
n the animals' peripheral airways. Additionally, a significant increas
e of T-lymphocytes and eosinophils was found in the lamina propria at
6 h after exposure in immunized TDI-challenged animals as compared wit
h control animals. In these immunized animals, TDI challenge caused a
significant increase of eosinophils, T-lymphocytes, and CD4+ T cells.
These findings indicate that intradermal injections of TDI induced a s
pecific antibody response as well as an inflammatory process in both c
entral and peripheral airways. T cells, particularly CD4+ T cells and
eosinophils, are the key cells in the immunopathologic alterations ind
uced by TDI in the guinea pig lung.